Total staff
109
Employees
97
Contractors
12
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Pioneer by Americare
Nursing Home, Skilled Nursing & Hospice Care · Moberly, MO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Pioneer by Americare
Nursing Home, Skilled Nursing & Hospice Care · Moberly, MO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Pioneer by Americare accepts Medicare, Medicaid, and private pay.
Experience warm, devoted and personalized care at Pioneer, a reliable senior care provider in Marceline, MO, offering skilled nursing, rehabilitation, home care, and hospice care. Residents are guaranteed to recover quickly and get back to their routines with access to various therapies, including physical, occupational and speech therapy. The community utilizes a person-centered approach to care, offering residents a team of skilled nurses that provides specialized 24/7 medical services.
Residents can fully relax and enjoy a healing living space with an array of spacious and bright studio floor plans designed to accommodate various care needs. The community ensures residents still have access to a vibrant and active way of living as they recover with a wide array of interesting activities, community events, and health & wellness programs. Residents can look forward to meal time with exquisite menus that are thoughtfully prepared to satisfy residents’ tastes and nutrition needs.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 84th out of 276 homes in Missouri. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 84th out of 276 homes in Missouri. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 5m per day
Rank #84 / 276Nurse hours — State benchmarkedThis home is ranked 84th out of 276 homes in Missouri. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 276 Missouri SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Missouri avg
+9%
Standout metric
LPN / LVN is +17% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 17m per day | ▼ 39% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 48m per day | ▲ 17% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 3m per day | ▼ 12% State avg: 2h 20m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 56m per day | ▼ 4% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 10m per day | ▼ 50% State avg: 20m per day · National avg: 29m per day |
Types of Care at Pioneer by Americare
Skilled Nursing
Hospice Care
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
54.5%
Rank #230 / 283Occupancy rate — State benchmarkedThis home is ranked 230th out of 283 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 283. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
116 days
Occupancy rate
54.5%
Rank #230 / 283Occupancy rate — State benchmarkedThis home is ranked 230th out of 283 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 283. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
116 days
Walk Score: 4 / 100 Rank #529 / 562Walk Score — State benchmarkedThis home is ranked 529th out of 562 homes in Missouri. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
2.32:1
37% better than Missouri average
Avg staff/day
32
Average shift
7.9 hours
0% compared with Missouri average
Total staff hours (quarter)
23,269
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
37
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5.8%
1,360 contractor hours this quarter
Speech Language Pathologist: 3
Physical Therapy Aide: 2
Respiratory Therapy Technician: 2
Qualified Social Worker: 1
Physical Therapy Assistant: 1
Therapeutic Recreation Specialist: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 37 | 0 | 37 | 8,654 | 92 | 100% | 8.5 |
| Physical Therapist | 23 | 0 | 23 | 3,788 | 92 | 100% | 6.4 |
| Licensed Practical Nurse | 8 | 0 | 8 | 2,398 | 92 | 100% | 9.5 |
| Medication Aide/Technician | 9 | 0 | 9 | 1,793 | 79 | 86% | 9.9 |
| Registered Nurse | 8 | 0 | 8 | 1,338 | 86 | 93% | 8.7 |
| RN Director of Nursing | 2 | 0 | 2 | 906 | 64 | 70% | 7.8 |
| Nurse Aide in Training | 4 | 0 | 4 | 621 | 49 | 53% | 10.9 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 490 | 60 | 65% | 8.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 486 | 49 | 53% | 9.9 |
| Dental Services Staff | 1 | 0 | 1 | 445 | 56 | 61% | 7.9 |
| Speech Language Pathologist | 0 | 3 | 3 | 442 | 68 | 74% | 6.1 |
| Nurse Practitioner | 1 | 0 | 1 | 436 | 56 | 61% | 7.8 |
| Physical Therapy Aide | 0 | 2 | 2 | 431 | 67 | 73% | 6.4 |
| Qualified Social Worker | 0 | 1 | 1 | 378 | 63 | 68% | 6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 59 | 7 | 8% | 8.4 |
| Physical Therapy Assistant | 0 | 1 | 1 | 49 | 28 | 30% | 1.7 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 18 | 26 | 28% | 0.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 14 | 2 | 2% | 6.8 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 6 | 1 | 1% | 5.8 |
37 Certified Nursing Assistant
% of Days
100%
23 Physical Therapist
% of Days
100%
8 Licensed Practical Nurse
% of Days
100%
9 Medication Aide/Technician
% of Days
86%
8 Registered Nurse
% of Days
93%
2 RN Director of Nursing
% of Days
70%
4 Nurse Aide in Training
% of Days
53%
1 Administrator
% of Days
67%
1 Other Dietary Services Staff
% of Days
65%
1 Mental Health Service Worker
% of Days
53%
1 Dental Services Staff
% of Days
61%
3 Speech Language Pathologist
% of Days
74%
1 Nurse Practitioner
% of Days
61%
2 Physical Therapy Aide
% of Days
73%
1 Qualified Social Worker
% of Days
68%
1 Clinical Nurse Specialist
% of Days
8%
1 Physical Therapy Assistant
% of Days
30%
1 Medical Director
% of Days
3%
2 Respiratory Therapy Technician
% of Days
28%
1 Occupational Therapy Assistant
% of Days
2%
1 Therapeutic Recreation Specialist
% of Days
1%
Penalties and fines
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$77K Rank #242 / 283Federal fines — State benchmarkedThis home is ranked 242nd out of 283 homes in Missouri. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 283 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
5% higher than Missouri averageMissouri average: $73K
Number of fines
2
18% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$77K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 13, 2023 · $47K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 13, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 13, 2023
$47K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.5
In line with Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.1
7% better than Missouri averageMissouri average: 19.5
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
17.8%
Percent of long-stay residents whose need for help with daily activities has increased
17.8%
10% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
17.2%
Percent of long-stay residents whose ability to move independently worsened
17.2%
17% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.3%
7% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
8.5%
Percent of long-stay residents experiencing one or more falls with major injury
8.5%
110% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.8%
Percent of long-stay high risk residents with pressure ulcers
1.8%
64% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.3%
Percent of long-stay residents with a urinary tract infection
3.3%
20% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.0%
Percent of long-stay residents who lose too much weight
7.0%
26% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
17.4%
Percent of long-stay residents who received an antipsychotic medication
17.4%
21% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.8%
In line with Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.1%
In line with Missouri averageMissouri average: 90.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.32
Number of hospitalizations per 1,000 long-stay resident days.
1.32
37% better than Missouri averageMissouri average: 2.08
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.15
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.15
9% better than Missouri averageMissouri average: 2.35
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
58.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
58.4%
12% worse than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
35% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
30.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
30.0%
53% worse than Missouri averageMissouri average: 63.5%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.3%
12% better than Missouri averageMissouri average: 25.3%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
9.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.1%
32% better than Missouri averageMissouri average: 13.4%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
53.6%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.6%
In line with Missouri averageMissouri average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
63.1%
Rate of successful return to home or community from a skilled nursing facility.
63.1%
25% better than Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
40% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
38% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
22% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
47
Medicare
3
6.4% of residents
Medicaid
22
46.8% of residents
Private pay or other
22
46.8% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Pioneer by Americare based on CMS SNF Cost Reports.
Occupancy Rate
54.5%
↑ 2.7pp vs 2022
Net Income
$636.9K
↑ ~$29.0K vs 2022
Total Payroll
$2.5M
↑ ~$283.3K vs 2022
Profit Margin
12.6%
↓ 1.2pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$5.1M
Profit
$636.9K
Privately-owned community
Operated by a business corporation.
Home revenue
$5.1M Rank #198 / 286Revenue — State benchmarkedThis home is ranked 198th out of 286 homes in Missouri. Shows this facility's annual revenue compared to the Missouri SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$636.9K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #213 / 286Payroll — State benchmarkedThis home is ranked 213th out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #213 / 286Payroll — State benchmarkedThis home is ranked 213th out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.4M
What does this home offer?
Pets Allowed
Room Sizes: 215 / 240 / 300 / 330 sq. ft.
Housing Options: Studio
Building Type: Single-story
Transportation Services
Fitness and Recreation
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Pioneer by Americare
50.5 miles from city center
Estimated distance in miles from Marceline's city center to Pioneer by Americare's address, calculated via Google Maps.
Calculate Travel Distance to Pioneer by Americare
Add your location
Financial Assistance for
Nursing Home in Missouri
Pioneer by Americare is located in Marceline, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Frequently Asked Questions about Pioneer by Americare
What neighborhood is Pioneer by Americare in?
Pioneer by Americare is in the Marceline neighborhood.
Is Pioneer by Americare in a walkable area?
Pioneer by Americare has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the phone number of Pioneer by Americare?
(660) 376-2001 will put you in contact with the team at Pioneer by Americare.
Is Pioneer by Americare Medicare or Medicaid certified?
Yes — Pioneer by Americare is a CMS-certified provider of Medicare and Medicaid.
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Contact Us
Published on
Updated on
Feedback
Write a review for Pioneer by Americare
Rate your overall experience with this community
Explore Open Rooms
1
Contact details
2
What type of senior care service are you looking for?
3
What budget do you have in mind for senior care?
4
How soon do you need to find care?
5
Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
Need Help?
Let us help you or a loved one find the perfect senior home.
